Active NPI
Debra Anderson-Brown, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1619941697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- KY1797
- Practice address
- 1169 Eastern Parkway
Medical Arts Building Suite 411
Louisville, KY 40217 - Phone
- (502) 473-7028
- Fax
- (502) 454-0666
- NPI assigned
- Feb 15, 2006
- Last updated
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY1797 | KY | Primary |
| Clinical Social Worker | 1041C0700X | 34004133A | IN |
Addresses
Primary practice location
1169 Eastern Parkway
Medical Arts Building Suite 411
Louisville, KY 40217
Mailing address
1169 Eastern Parkway
Medical Arts Building Suite 411
Louisville, KY 40217
Phone (502) 473-7028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004133A | IN | MD | Clinical Social Worker |
| KY1797 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1619941697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PARKWAY",
"address_2": "MEDICAL ARTS BUILDING SUITE 411",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40217",
"telephone_number": "502-473-7028",
"fax_number": "502-454-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EASTERN PARKWAY",
"address_2": "MEDICAL ARTS BUILDING SUITE 411",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40217",
"telephone_number": "502-473-7028",
"fax_number": "502-454-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON-BROWN",
"first_name": "DEBRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "KY1797",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004133A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Anderson Behavioral Health
- Anderson Chiropractic & Rehab PLLC
- Anderson Chiropractic and Rehab
- Anderson Chiropractic, PSC
- Anderson Physical Therapy LLC (Back Pain Relief Center, Diabetes Control Center)
- Amanda Anderson, OTR/L
- Annabel F Anderson, LMFT
- Ashley Anderson
- Ashley Danielle Anderson, APRN
- Brian David Anderson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.